Individual provider · Type 1 NPI

Shantay Jackson

Homemaker · Davenport, FL

NPI number 1629704499 Active

Practice location

1954 Marabou Dr
Davenport, FL 33896-8616

Call (407) 995-9094 Map

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000X422805 (FL)

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1629704499

Shantay Jackson's National Provider Identifier is 1629704499, issued on Jul 25, 2022. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Davenport, FL. The record was last updated on Jul 25, 2022.